MEDICARE: HEIDI MARIE TOLNAI L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2002017215	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043331648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI MARIE TOLNAI L.P.C.

Provider Business Mailing Address
First Line	:	117 N WATER ST
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-1736
Country	:	US
Telephone Number	:	816-550-3484
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 N WATER ST
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-1736
Country	:	US
Telephone Number	:	816-550-3484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	04/01/2014

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